Country star Carrie Underwood revealed Monday that there was a lot more to her November accident than a broken wrist. She said her face required 40 to 50 stitches for injuries that have altered her appearance.

"Now, here we are 7 weeks later and, even though I've had the best people helping me, I'm still healing and not quite looking the same," Underwood told her fan club in a letter. "I honestly don't know how things are going to end up ..."

"And when I am ready to get in front of a camera, I want you all to understand why I might look a bit different," she wrote. "I'm hoping that, by then, the differences are minimal but, again, I just don't know how it's all going to end up."

Underwood, 34, a former "American Idol" winner whose hits include "Before He Cheats," shared a picture last week with a scarf covering much of her face.

Days after co-hosting the Country Music Awards in November, Underwood fell down steps outside her Tennessee home, breaking her wrist and prompting her to cancel an appearance at a fundraising concert for hurricane victims and those affected by the Las Vegas shooting.

But she apparently did not reveal the extent of her injuries until Monday.

A Twitter user posted Underwood's letter.

omg is she okay? im actually worried now. i mean a broken wrist hurts but her face? i would hate to feel less confident over a fall that disfigured my face. poor Carrie.

Stay fetch. Sign up for The Cray, our daily roundup of all things buzzworthy. From Kylie Jenner's trendsetting style (btw, puberty goals AF) to life-changing tech news (tweeting an emoji to order a pizza #YES), The Cray is all you need to impress the squad.